HomeMy WebLinkAboutGaughran, Gerard . /Ill// ,,,,,,,i
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B ' Town Hall, 53095 Main Road
' P.O. Box 1179
sit_' ►Ol 1%%, � Southold, New York 11971
JUDITH T.TERRY FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 534 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GAUGHREN, GERARD W.
Address 1 : 49925 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF ONE NEW CESSPOOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN A MINIMUM OF 10'0" FROM DWELLING.
NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner GAUGHRAN, GERARD W.
Mailing Address 1 49925 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 49925 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 5 lot 2.000
Cross Street AKERLY POND LANE
Building Permit Number Cross Reference:
Issue Date: 8/23/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
-111111/11P-
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1 v "y=', ," � $ Town Hall, 53095 Main Road
''_%'0 ' _ i P.O. Box 1179
--:.:17(//,, 4�®yet Southold, New York 11971
JUDITH T.TERRY '— „;„004 TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: August 15, 1989
Transmitted herewith is a copy of application No./4547 for a Cesspool/
Septic Tank Construction Permit submitted by:
JOHN J. WALTERS a/c GERARD W. GAUGHRAN .
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
• may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE X
DISAPPROVE
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Dated
OFFICE a THE TOWN CLERK cOFOCr`;.
Town of Southold �Q► /,,
Judith T. Terry, Town Clerk C �+ r Application No. �y
Town Hall, 53095 Main Road Construction
P. O. Box 1179 /
Southold, New York 11971 00 �0�� Alteration ✓
Telephone = 1 Residential
(516) 765-1801 ''
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ P
DATE 7
APPLICANT NAME: 6C.V4k-1 -fj� (,‘-a
APPLICANT ADDRESS: ( d-C- /)7Q h �P
Sr) 4 0 /1T
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION e?/
_ �� w�Ll ra►�'r ter"
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ��v--2 v`e%P D �e: 1614 r i
OWNER MAILING ADDRESS: g ir2S 7/1.7 r
OWNER PROPERTY ADDRESS: c--(11..,25-- e7' i t2
,5215/1
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Sectionr 7 o Block Q s' L Q
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE: g/°/ef/oVS z S/, y/f
/4C)
Sig ure of Applicant
RECEIVED BY:
I Ton Clerk's Office
DATE: C(4I < 1 1
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